Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 06503 | Date 01/04/2024 |
| Token No | SM/22-23/20359 01/04/2024 | Serial | 014 |
| Patient Name | Mr. SK HUMAYUN | Contact No | 9038583221 |
| Address | 42 MALLICKPARA LANE SERAMPORE 712203 | Age | 57 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||